Improving Documentation of Malaria Suspects at Shiamakhubu Health Centre Outpatient Department in Kakamega County
During a clinical encounter of a suspected malaria patient in Kenya, it takes the triad of the clinician serving the patient, the morbidity tally sheet, and outpatient register to correctly capture the patient as a malaria suspect. Complete and accurate documentation of suspected malaria enables clinicians and malaria programs to determine testing rates, workload and thus planning and resource allocation. In cases where documentation is incomplete and inaccurate, malaria tests done and documented in the laboratory can be used to identify untallied malaria cases in the outpatient department. Shiamakhubu health centre is one the 12 centres of excellence in Kakamega County. In a bid to ensure that they account for all malaria suspects, they resolved to use their quality improvement team to address this area. Working with a baseline report in April 2016, the team developed countermeasures for the root causes of the problem. Implementation of this work began in May 2016 and through team work, 100% complete and accurate data was reported in August and through October 2016 until there was stock out of tally sheets and health care providers went on strike in November and December 2016.